The planning and setting of definable goals are essential for any successful organization. These ten goals can help guide us into the next millennium.
Managed care has not adversely affected pregnancy outcomes overall in Medicaid-sponsored women, but payer system changes may be insufficient to achieve parity relative to private managed care patients.
Changes in sleep occur early in pregnancy, but the 1st month postpartum is particularly disturbing for first-time mothers compared with experienced mothers.
Complementary and alternative medicine, especially herbal medicine, is used commonly by North Carolina certified nurse-midwives.
Healthy nulliparas who develop hypertension, especially severe hypertension, have significantly more maternal and perinatal morbidity, but similar perinatal mortality, compared with normotensive women.
In healthy pregnant women, a platelet count greater than 115 x 109/L late in pregnancy does not require further investigation during pregnancy.
Multiple courses of antenatal steroids are more effective than single courses and do not increase neonatal sepsis or disturb fetal growth.
Vaginal birth seems to be safe for breech first twins who weigh at least 1500 g.
McRoberts' maneuver causes a significant cephalad rotation of the symphysis pubis and flattening of the sacrum.
Third-trimester amniocentesis is relatively safe, but the risk that it might necessitate urgent delivery (less than 1%) should be discussed and carefully weighed against the benefits.
Second-trimester fetuses with trisomy 18 are best detected noninvasively by combining comprehensive ultrasound findings with multiple-marker screening test.
Markers for depressive symptoms in young women vary according to ethnicity and include physical or sexual assault, recent substance use, unemployment, age, and limited education.
Changes in ovulation induction regimens were most likely responsible for the increase in successful assisted reproduction in selected Boston clinics between 1994 and 1998.
Scrape cytology can replace frozen section for intraoperative evaluation of lymph nodes from women with gynecologic cancers.
Risk of Chlamydia trachomatis tubal infertility might be regulated immunogenetically by human leukocyte antigen-DQ–dependent mechanisms.
Smoking status and type of progesterone influence cardiovascular reactivity to stress in oral contraceptive users.
Large for gestational age infants of women with gestational diabetes have higher nucleated red blood cell counts at birth than appropriate for gestational age infants of gestational diabetic and nondiabetic women.
Oral contraceptive use by postmenopausal women increases lumbar spine and hip bone mineral density and provides short-term cardiovascular benefit comparable to hormone replacement therapy.
Treatment with raloxifene for 12 months did not stimulate the postmenopausal endometrium, as assessed by endometrial biopsy, transvaginal ultrasonography, and saline-infusion sonohysterography.
Raloxifene therapy for up to 3 years did not cause endometrial thickening or proliferation and was not associated with signs or symptoms suggestive of uterine pathology in healthy postmenopausal women.
Sequential transdermal estradiol and oral dydrogesterone increase high-density lipoprotein in menopausal women, without increasing triglycerides.
Endometrial release of intercellular adhesion molecule 1 significantly correlates with revised American Society for Reproductive Medicine classification score and number of pelvic endometriotic implants.
Stage, age, and p53 overexpression are independent predictors of decreased survival in women with invasive ovarian cancer diagnosed younger than age 55.
Adjuvant platinum-based chemotherapy enhances long-term durable survival in women with malignant germ cell tumors of the ovary.
A strong association between the human leukocyte antigen DQB1*0303 allele and invasive cervical cancer is detected in patients with high-risk human papillomavirus types using family-based controls.
The human immunodeficiency virus type 1 protein R uses a cell regulatory pathway that might identify new therapeutic targets against human papillomavirus–dependent cervical dysplasia and neoplasia.
Vulvar tissues affected by lichen sclerosus show a low number of CD2, CD3, CD4, CD19, CD21, and CD8 cells and no natural killer CD56 cells or B-lymphocytes.
In a randomized study, laparoscopic Burch colposuspension was associated with a significantly higher improvement rate when two sutures, compared with one, were placed on each side of the urethra.
Intraurethral ultrasound shows a hyperechoic layer in which needle electromyography indicates motor unit action potentials consistent with striated muscle in the layer.
Shortening the obstetrics-gynecology clerkship lowers subject examination scores, especially for medical students who matriculate in the first half of the academic year.
Laparoscopically assisted vaginal delivery is a revolutionary new technique that will replace forceps and vacuum extractors in the next century.
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